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General NPI Number Information
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NPI Number | 1285753111
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Entity Type | Individual
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Provider Name | JUNEWAI LEE REOMA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 402 E 2ND ST
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City | DULUTH
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State | MN
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Zip | 55805-1906
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Country | US
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Telephone | 218-786-8364
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E 3RD ST
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City | DULUTH
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State | MN
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Zip | 55805-1951
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Country | US
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Telephone | 218-786-8364
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 4301081441
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | D75937
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301081441
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 79784
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License Number State | MN
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